14D2037850 CLIA NUMBER - WALGREENS #09892

Laboratory Demographics

  • CLIA Code: 14D2037850
  • Facility Name: WALGREENS #09892
  • Facility Address: 315 N WEBSTER ST
    TAYLORVILLE, IL
    ZIP 62568
  • Facility Phone: 217 824-8154
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID K. DRISKELL
  • NPI Number: 1831104942
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2037850
LAB Type Pharmacy
Facility Name WALGREENS #09892
Street 315 N WEBSTER ST
City TAYLORVILLE
State IL
ZIP 62568
Phone 217 824-8154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director DAVID K. DRISKELL

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This page was last updated on: 9/29/2025